Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.99 / $1,055.32 / $14,482.00	Facility		$741.99	$1,055.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.84 / $755.92 / $2,541.50	Professional		$499.84	$755.92	$2,541.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.09 / $976.79 / $2,315.32	Professional		$573.09	$976.79	$2,315.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,874.33 / $2,190.30 / $3,532.88	Facility		$1,874.33	$2,190.30	$3,532.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.39 / $1,392.23 / $2,531.76	Professional		$603.39	$1,392.23	$2,531.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $476.76 / $760.55 / $1,354.73	Facility		$476.76	$760.55	$1,354.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,014.06 / $5,831.69	Facility		$525.00	$1,014.06	$5,831.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $694.79 / $1,506.19 / $5,189.12	Professional		$694.79	$1,506.19	$5,189.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $374.28 / $1,126.99	Professional		$62.75	$374.28	$1,126.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $476.76 / $760.55 / $1,354.73	Facility		$476.76	$760.55	$1,354.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $953.55 / $1,564.30 / $2,233.13	Professional		$953.55	$1,564.30	$2,233.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,469.20 / $3,469.20 / $3,469.20	Facility		$3,469.20	$3,469.20	$3,469.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $832.36 / $2,978.55 / $5,189.12	Professional		$832.36	$2,978.55	$5,189.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,236.67 / $4,804.05 / $6,805.30	Professional		$2,236.67	$4,804.05	$6,805.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $694.79 / $1,369.26 / $2,997.81	Professional		$694.79	$1,369.26	$2,997.81